Karly Spencer-170300001

A division of
RSSITF
Regd. Under Companies Act | Ministry of Corporates Affairs Govt of India
Regd Office : Chapra, Saran, Bihar - 841301
Application Form

Student Details

Name of Candidate : Karly Spencer
Reg. No. 170300001

Student Photo Not Available
Mother's Name : Eos Aut Ipsam Aliqu
Father's Name : Minima Et Et Incidun
Date of Birth * : 09-Oct-1997
Gender : FEMALE
Nationality : INDIAN
Present Address : Accusamus aut ut rep
Mobile No. : 9273016819
Email Address : cuva@offerplant.com

Course Details

Course Name /Code : ()
Course Duration :

Attached Document

Identity Proof : Sorry No Attachment
Educational Certificate : Sorry No Attachment
Decleration

I hereby declared that all the informations are correct and true to the best of my knowledge and belief.

Place: , Saran
Date : 01-Mar-2017

Signature of Student

Center Details

Center Code : 12345678

Verified By
Center Name : Ram Sudisth Singh Institute Of Technology Foundation
Center Address : Chhapra, Saran, (Saran)
ID Proof
Educational Proof